Atenolol (Tenormin)
Atenolol (Tenormin)
Atenolol (Tenormin)
GENERIC NAME Atenolol TRADE NAMES Tenormin PEAK 1 hour 25-100mg daily, depending on creatinine levels and hemodialysis status, tablets, daily LAB VALUE ALTERATIONS May increase BUN, creatinine, alkaline phosphatase, glucose, LDH, potassium, and uric acid levels. May decrease glucose levels. May increase platelet count. MECHANISM OF ACTION (How does it work?) Selectively blocks beta1-adrenergic receptors, decreases cardiac output & cardiac oxygen consumption, & depresses renin secretion. DRUG INTERACTIONS Amiodarone, antihypertensives, calcium channel blockers, hydralazine, cardiac glycerides, clonidine, dolasetron, insulin, oral anti-diabetics, IV lidocaine, NSAIDS, prazosin, reserpine Why is your patient getting this medication? Or What are some reasons that these medications are ordered? Hypertension, migraine prophylaxis, angina pectoris CLASSIFICATION Antihypertensive Beta Blocker ONSET 2-4 hours
DURATION 24 hours
COMMON SIDE EFFECTS Hypotension, fatigue, dizziness, bradycardia, heart failure, bronchospasm
NURSING IMPLICATIONS (What to focus on.) Monitor blood pressure, monitor hemodialysis patients due to risk of hypotension, symptoms may mask hypoglycemia or hyperthyroidism symptoms, may cause ECG or exercise tolerance
TEACHING Take as prescribed at the same time every day. Don t stop drug suddenly, consult with prescriber if there are adverse reactions. Teach patient to take pulse and hold medication and call prescriber if pulse rate is below 60. Let prescriber know about plans to become pregnant or if they become pregnant. Don t take if breast feeding.
PREADMINISTRATION ASSESSMENT? Blood pressure, heart rate, breathing rate, medicines, diabetes, thyroid level
WHEN/WHY WOULD YOU HOLD? Low heart rate, heart failure, bronchial complications, pregnancy.
WHAT WOULD YOU ASSESS POSTADMINISTRATION? Toxicity lethargy, decreased respirations, wheezing, bradycardia, sinus pause. Check vitals,
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